| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $579.60 | $589.66 | $784.00 |
Aetna
| Professional | QZ | $175.73 | $567.55 | $736.98 |
Highmark BCBS
| Professional | AA | $731.00 | $731.00 | $731.00 |
Highmark BCBS
| Professional | QZ | $374.28 | $512.14 | $644.20 |